Clinical Importance of the 'Seat Belt Sign' in Blunt Trauma to the Neck

DiPerna, Costanzo A.; Rowe, Vincent L.; Terramani, Thomas T.; Salim, Ali; Hood, Douglas B.; Velmahos, George C.; Weaver, Fred A.
May 2002
American Surgeon;May2002, Vol. 68 Issue 5, p441
Academic Journal
Currently a carotid duplex scan is the initial screening modality routinely used to evaluate occult extracranial carotid artery injuries secondary to blunt neck trauma. The objective of this study was to investigate the role of carotid artery duplex scanning in patients who suffered blunt trauma to the neck with a "seat belt sign." The medical records of 131 consecutive patients who sustained blunt trauma to the neck from a motor vehicle accident were reviewed. Patients with the cervical seat belt sign underwent a complete physical examination and carotid duplex scan in an accredited vascular laboratory. An intimal flap with severe carotid artery stenosis was found in one of 131 patients (0.76%). This patient has multiple injuries to the face, head, chest, lateralizing neurological signs, and a Glasgow Coma Scale score of 8. In an era of cost containment, resource consumption should target appropriate populations. A cervical seat belt sign should not serve as a sole indicator for evaluation of the carotid artery in the absence of other pertinent signs or symptoms.


Related Articles

  • Pediatric Blunt Carotid Injury: A Review of the National Pediatric Trauma Registry. Lew, Sean M.; Frumiento, Carmine; Wald, Steven L. // Pediatric Neurosurgery;May99, Vol. 30 Issue 5, p239 

    Blunt carotid injury (BCI) is an uncommon yet potentially devastating entity which has received little attention in the pediatric literature. In an attempt to better characterize pediatric BCI, a review of the National Pediatric Trauma Registry was performed. Records were obtained from all...

  • Unusual cause of neurological symptoms in a young man. Elliott, Katharine E.; Thin, Noel N.; Tsui, Janice C.; Davis, Meryl // JRSM Shorts;Mar2011, Vol. 2 Issue 3, p1 

    The article presents a case study of a 30-year-old man who was taken to the emergency room with chief complaints of non-specific neurologic symptoms such as slurred speech and right arm weakness. It mentions that the patient was diagnosed with carotid artery stenosis after the imposition of...

  • Long-Term Outcomes of Endovascular Stenting for Blunt Renal Artery Injuries with Stenosis: A Report of Five Consecutive Cases. Ichiro Okada; Junichi Inoue; Hiroshi Kato; Yuichi Koido; Nobuaki Kiriu; Takayuki Hattori; Kohei Morimoto; Yoshiaki Ichinose; Hiroyuki Yokota // Journal of Nippon Medical School;Jun2019, Vol. 86 Issue 3, p172 

    Background: Renal artery stenting is performed for renal artery injuries to preserve renal function and prevent renovascular hypertension. However, its indications are controversial and its long-term prognosis remains unknown. Here, we evaluate the characteristics and long-term outcomes of renal...

  • Multimodality imaging of coronary artery dissection and cardiac contusion after blunt chest trauma. De Cock, Dries; Ferdinande, Bert; Bennett, Johan; Desmet, Walter; Adriaenssens, Tom // European Heart Journal - Cardiovascular Imaging;Mar2014, Vol. 15 Issue 3, p349 

    The article describes the case of a 77-year-old male presented with chest pain, three weeks after a blunt chest trauma caused by a horse kick. An aortic valve replacement and a single arterial coronary bypass graft on the circumflex artery were performed on the patient three months earlier. It...

  • Nonoperative Management of Solid Abnominal Organ Injuries from Blunt Trauma: Impact of Neurologic Impairment. Shapiro, Michael B.; Hoff, William S.; Kauder, Donald R.; Schwab, C. William; Nance, Michael L.; Schiller, Henry J. // American Surgeon;Aug2001, Vol. 67 Issue 8, p793 

    The role of nonoperative management of solid abdominal organ injury from blunt trauma in neurologically impaired patients has been questioned. A statewide trauma registry was reviewed from January 1993 through December 1995 for all adult (age >12 years) patients with blunt trauma and an...

  • Use of abdominal computed tomography in blunt trauma: do we scan too much? Garber, Bryan G.; Bigelow, Eric; Yelle, Jean-Denis; Pagliarello, Guiseppe; Garber, B G; Bigelow, E; Yelle, J D; Pagliarello, G // Canadian Journal of Surgery;Feb2000, Vol. 43 Issue 1, p16 

    Objectives: To determine what proportion of abdominal computed tomography (CT) scans ordered after blunt trauma are positive and the applicability and accuracy of existing clinical prediction rules for obtaining a CT scan of the abdomen in this setting. Setting: A...

  • Thoracoscopy in chest trauma: an update. Leppäniemi, A.K. // Trauma;Apr2001, Vol. 3 Issue 2, p111 

    The role of thoracoscopy in the management of patients with chest injuries is constantly being redefined as more reports on its use continue to emerge in the literature. As of today video-thoracoscopy has been used mainly as a diagnostic tool for certain occult injuries, such as of the...

  • Why do we get bruises?  // Science World;9/17/2007, Vol. 64 Issue 2, p16 

    The article provides information on the development of bruises.

  • Nonoperative management of adult blunt splenic trauma... Wasvary, Harry; Howells, Gregory // American Surgeon;Aug1997, Vol. 63 Issue 8, p694 

    Focuses on the study on the nonoperative management of adult blunt splenic trauma. Methodology of the study; Examination done to determine any long-term consequences of splenic injuries; Comparison of statistical data student's t test and Chi evaluation with the Yates correction; Result of the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics